<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Prime Resort  |  Register </title>
<meta name="description" content="Description Comes here" />
<meta name="keywords" content="Place Keywords here" />
<link rel="stylesheet" type="text/css" href="css/reset.css"/>
<link rel="stylesheet" type="text/css" href="css/960_24_col.css"/>
<link rel="stylesheet" type="text/css" href="css/style.css" media="screen"/>

</head>
<body>
<div id="header">
	<div class="container_24">
    	<div class="grid_24">
            <div class="grid_12 omega" id="logo">
            <a href="#"><span>Prime Resort</span></a>
            </div><!--/.grid_12-->
            
           
        </div><!--/.grid_24-->
        <div id="primary-nav" class="grid_24">
        	<ul>
                <li><a href="#">Home</a></li>
                <li><a href="#">Rooms</a></li>
                <li><a href="#">Packages</a></li>
                <li><a href="#">Membership</a></li>
                <li><a href="#">Events</a></li>
                <li><a href="#">Register</a></li>
                <li><a href="#">Contact Us</a></li>
                <li><a href="#">About Us</a></li>
                <li><a href="#">FAQ</a></li>
        	</ul>
        </div><!--/#primary-nav-->
        </div><!--/.container_24-->
</div><!--/#header-->

<div id="main" class="container_24">
	<div id="contents" class="grid_17">
   <div class="resort-list">
    <h2 class="title">Registration</h2>
    
    <form id="" name="" class="stylish-form" action="" method="">
    
    	<div class="grid_8">
    
            <p>
                <label for="first-name">First Name</label>
                <input type="text" name="first-name" id="first-name" required="required" />
            </p>
            <p>
                <label for="last-name">Last Name</label>
                <input type="text" name="last-name" id="last-name" required="required" />
            </p>
            <p>
                <label for="email">Email Address</label>
                <input type="email" name="email" id="email" required="required" />
            </p>
            <p>
                <label for="password">Password</label>
                <input type="password" name="password" id="password" required="required" />
            </p>
             <p>
                <label for="c-password">Confirm Password</label>
                <input type="password" name="c-password" id="c-password" required="required" />
            </p>
            <p>
        	<label for="mobile">Mobile No.</label>
            <input type="number" name="mobile" id="mobile" required="required" />
        </p>
        <p>
        	<label for="landline">Landline No.</label>
            <input type="number" name="landline" id="landline" required="required" />
        </p>
        <p>
        	<input type="submit" name="" value="Register"/>
            
        </p>
        </div>
        <div class="grid_7">
         
        <p>
        	<label for="area">Area</label>
            <textarea name="" id="" required="required"></textarea>
        </p>
        <p>
        	<label for="city">City</label>
            <input type="text" name="city" id="city" required="required" />
        </p>
        <p>
        	<label for="state">State</label>
            <input type="text" name="state" id="state" required="required" />
        </p>
        <p>
        	<label for="country">Country</label>
            <input type="text" name="country" id="country" required="required" />
        </p>
        
        <p>
        	<label for="pincode">Pincode</label>
            <input type="text" name="pincode" id="coupincodentry" required="required" />
        </p>
        
         <p>
        	<label for="dob">D.O.B</label>
            <input type="date" name="dob" id="dob" required="required" />
        </p>
        </div>
        
        <div class="clearfix"></div>
        
        
    captcha and validations will be added in a day. button style will change... so ignore it
    </form>

       
       </div><!--/.resort-list-->
    </div><!--/.contents-->
     <div id="sidebar" class="grid_7">
     	
        <div class="sidebar">
        	<h2>Packages</h2>
            
        </div><!--/.sidebar-->
        
         <div class="sidebar">
        	<h2>Memberships</h2>
            
        </div><!--/.sidebar-->
        
         <div class="sidebar">
        	<h2>Upcoming Events</h2>
            
        </div><!--/.sidebar-->
        
        
     </div><!--/#sidebar-->
</div> <!--/#main-->
<div class="clearfix"></div>
<div id="footer" class="container_24">
	<div id="footer-nav" class="grid_24">
    	<ul>
        	<li><a href="#">Home</a></li>
                <li><a href="#">Rooms</a></li>
                <li><a href="#">Packages</a></li>
                <li><a href="#">Membership</a></li>
                <li><a href="#">Events</a></li>
                <li><a href="#">Register</a></li>
                <li><a href="#">Contact Us</a></li>
                <li><a href="#">About Us</a></li>
                <li><a href="#">FAQ</a></li>
        </ul>
    </div><!--/#footer-nav-->
    <div class="grid_14">
    	<p>Copyright © Prime Resort. All Rights Reserved.</p>
        <p>Website best viewed in Firefox 3+, IE 7+, Chrome, Opera</p>
    </div>
    <div class="grid_10 ">
    	
        
    </div>
</div><!--/#footer-->
</body>
</html>
